MEETING No. 35 OCTOBER 10th, 2001, GALLARATE HOSPITAL

Case 1
Case 2
Case 3
Case 4
Case 5
Case 6

Case 4

"FNA FROM BILATERAL CERVICAL NODULES"
C. ZOGNO, S. CRIPPA - Desio Hospital
(Pictures by dr. Zogno & dr. Crippa)

Clinical history: a 50y.o. woman presents with two palpable, cervical, bilateral nodules with a clinical suspicion of lymphoma. FNA is performed.
Microscopic description: the smears from both side show a haematic background and small groups of loose, polygonal cells, surrounded by stroma and vessels; the cells have pale, fragile cytoplasm with indistinct borders and sometimes fine reddish granules, particularly evident with MGG stain; the nuclei are round or oval with finely dispersed chromatin and small nucleoli. Occasional, marked nuclear atypia is noted (pict. 1 - pict. 2 - pict. 3 - pict. 4 - pict. 5 - pict. 6 - pict. 7).
With immunohistochemical staining the neoplastic cells are strongly positive for Chromogranin (pict. 8).

Diagnosis

pict. 1	pict. 2
pict. 3	pict. 4
pict. 5	pict. 6
pict. 7	pict. 8

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